| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,668 |
2,329 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,602 |
1,392 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,975 |
2,530 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
686 |
630 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
591 |
475 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,848 |
1,723 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
353 |
291 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,017 |
949 |
$17K |
| 92551 |
|
2,294 |
1,980 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
228 |
192 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
987 |
789 |
$8K |
| 96160 |
|
2,043 |
1,737 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
119 |
118 |
$7K |
| 85018 |
|
3,501 |
2,869 |
$6K |
| 85014 |
|
3,351 |
2,725 |
$6K |
| 81002 |
|
2,854 |
2,370 |
$6K |
| 99173 |
|
2,431 |
2,050 |
$3K |
| 87428 |
|
91 |
84 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
224 |
105 |
$2K |
| 99188 |
|
80 |
77 |
$2K |
| 83655 |
|
50 |
47 |
$553.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$181.80 |
| 96127 |
|
90 |
54 |
$133.73 |
| 97802 |
|
969 |
667 |
$24.09 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
14 |
12 |
$4.55 |
| 90651 |
|
84 |
78 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
28 |
24 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
28 |
24 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90619 |
|
30 |
28 |
$0.00 |
| 90686 |
|
49 |
45 |
$0.00 |
| 90677 |
|
27 |
14 |
$0.00 |
| 90647 |
|
15 |
12 |
$0.00 |
| 90633 |
|
32 |
28 |
$0.00 |
| 90670 |
|
156 |
143 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90672 |
|
28 |
26 |
$0.00 |